中国骨伤2017，Vol.30Issue(3)：233-235,3.DOI:10.3969/j.issn.1003-0034.2017.03.009
全髋关节置换术治疗髋臼骨折内固定术后继发创伤性髋关节炎的疗效观察
Total hip arthroplasty for post-traumatic arthritis after internal fixation of acetabular fracture
安雪军 1宋洁富 1魏杰 1张宇明 1苏云星1
作者信息
- 1. 山西省人民医院骨科,山西太原030012
- 折叠
摘要
Abstract
Objective:To study the clinical outcome of total hip arthroplasty (THA) for traumatic arthritis after acetabular fracture.Methods:From June 2010 to June 2014,33 hips in 33 patients with traumatic arthritis after acetabular fracture were retrospective analyzed including 21 males and 12 females with a mean age of 44.6 years old.All the patients received THA with bio-prostheses.Harris score was used to evaluate the hip function of patients before and after operation,the X-ray was adopted for radiographic evaluation of the hip prosthesis.Results:All patients were followed up for 7 to 38 months with an average of 21.6 months.The Harris score increased from preoperative 53.6±2.4 to 94.0±3.0 at the final follow-up,the difference was statistically significant (t=55.37,P＜0.05).The X-ray evaluation showed the prosthesis was in good position,no loosening of the prosthesis,dislocation and periprosthetic osteolysis.Conclusion:THA is an effective treatment for the traumatic arthritis after acetabular fracture;internal fixation of acetabular fractures could not be removed if it shows difficult but does not affect the prosthesis placement.关键词
髋臼/骨折/骨关节炎,髋/关节成形术,置换,髋Key words
Acetabulum/Fractures/Osteoarthritis,hip/Arthroplasty,replacement,hip引用本文复制引用
安雪军,宋洁富,魏杰,张宇明,苏云星..全髋关节置换术治疗髋臼骨折内固定术后继发创伤性髋关节炎的疗效观察[J].中国骨伤,2017,30(3):233-235,3.
